Healthcare Provider Details

I. General information

NPI: 1013962844
Provider Name (Legal Business Name): NATIONWIDE HEARING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 04/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1180 MALL DR SUITE C
LAS CRUCES NM
88011-8101
US

IV. Provider business mailing address

1180 MALL DR SUITE C
LAS CRUCES NM
88011-8101
US

V. Phone/Fax

Practice location:
  • Phone: 575-521-1942
  • Fax:
Mailing address:
  • Phone: 575-521-1942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: MS. BRENDA DUNN
Title or Position: CEO
Credential:
Phone: 575-521-1942